NPI: 1669866612 · POTLATCH, ID 83855 · Dentist · NPI assigned 03/26/2015
| Authorized Official | LAWSON, LAWRENCE (OWNER) |
| NPI Enumeration Date | 03/26/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $0.00 |